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Why do people have different pain threshold?

16 Dec 2016

Neurologist Dr. Doping speaks about the concept of the threshold of pain and factors reaction to pain.

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The threshold of pain - it's not exactly a concrete concept. The fact that this term is referred patients and physicians, is somewhat different.

Trying to summarize and generalize the concept of the pain threshold, we obtain the conditional degree of impact on the human body, above which we experience what is called pain. Pain - is an unpleasant sensory and emotional experience associated with current or potential tissue damage, or described in terms of such damage (the definition of the International Association for the Study of Pain, IASP).

The value of the threshold of pain is somewhat exaggerated for practical life. For example, in research activity is an important component in a number of works with which explores the emergence of pain threshold, pain tolerance threshold, the threshold temperature pain threshold pressor pain. Also evaluated threshold of protective reflexes that occur in response to control by force of painful stimulus (nociceptive flexor reflex, blink reflex). In medical practice such techniques are rarely investigated due to the ambiguity of their understanding. In everyday life under the threshold of pain is often understand the severity of the visible - the motor or verbal - reaction to the pain, but it is not correct to use the term, it is more consistent with the notion of pain tolerance threshold.

The very threshold of pain is the perception of pain depends on many factors. On the perception of pain affects the previous experiences, including "painful history", socio-cultural factors, family traditions, the level of motivation of a person at a particular time, the presence of underlying emotional or mental disorders (depression or anxiety disorder), sleep disturbance, the overall level of fatigue person, the level of perceived stress and hormone levels (including the phase of the cycle in women).

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The reaction to the pain sensation - this behavior is even more dependent on environmental and cultural factors, as well as individual notions of acceptable behavior, demonstrative level and other factors. So, there are religious layers in which pain is perceived as a redemption, there are patients with serious spinal cord injuries, which informed that the presence of pain - this is a mandatory component of "restoration" of neural structures (which is not quite true). Unknown pain, which the patient has not previously been a "sign" to cause a greater reaction than the known or expected. The pain of physical activity in the gym can be expected as a "symbol" of successful training and the expected addition of muscle mass (which is also not true). The pain with which women meet regularly, rarely perceived as a reason for seeking medical help, as it is a pain, had previously met with the well-known reasons and duration.

In medical environment, the use of the pain threshold concept and its application is possible in patients with chronic pain syndromes, including headaches, with the possible presence of emotional disturbances living in conditions of chronic stress, and so on. It is believed that a group of drugs that modulate the level of support and pain threshold, are antidepressants and anticonvulsants.


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